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To apply fibre bronchial microscope on acute respiratory insufficiency caused by lung infection or atelectasis after trauma or operation.

[目的]应用纤维支气管镜治疗创伤及术后由肺不张或肺内感染引起急性呼吸功能不全的疗效。

RESULTS: The expression of VCAM1 in the lung tissues of normal rats was weak, and distributed mainly in alveolar epithelial cells, bronchiole epithelial cells, alveolar macrophage and some pulmonary interstitium.

结果: 在正常对照组,VCAM1大鼠肺组织中呈弱表达,分布于肺泡上皮细胞、细支气管上皮细胞、肺泡巨噬细胞及少量的肺内间质。

Objective:To evaluate the incidence and regularity of acquired bronchopulmonary in fection in hospital.

摘 要:目的:了解医院内获得性支气管-肺部感染的发生率及其规律。

The superficial microvascular networks were sparser, while the subpleural microvascular networks were denser. The superficial blood vessels and the interlobular blood vessels were mutual transitional, and the anastomosing between the superficial blood vessels with the subpleural vessels. According to the branching sequence of the subpleural arteriole, it could be divided into the arteriole, terminal arteriole, precapillary arteriole and capillary in turn. The subpleural capillary networks were mainly web-like, while small holes were also found on the cast. The honeycomb vascular networks were various in size and form at a low magnification. The outline of alveolus, alveolar sac, alveolar duct and respiratory bronchiole and terminal bronchiole, made of microvascular networks, could be found in the cut surface.

胸膜面浅层的微血管网稀疏,深层的胸膜下微血管网致密;胸膜面浅层的微血管与小叶间隔的微血管之间相互移行,与胸膜下微血管之间形成吻合连接;根据胸膜下微动脉连续分支的顺序,常可将其分为微动脉、终末微动脉、毛细血管前微动脉和毛细血管四级;胸膜下毛细血管网主要以网络状的形式存在,但在铸型上均可见数量不等的"小孔状"结构;低倍镜下肺实质内微血管网呈现大小不等、形态各异的蜂窝状结构,可以见到由微血管网构成了肺泡、肺泡囊、肺泡管和呼吸性细支气管以及终末细支气管等结构的轮廓。

Results: we estalished ideal copd models in stort time. there existed the expression of nos in both the normal lung tissue and the lung tissue of copd,mainly orienrared in the cytoplasm of cell.the immunohistochemical result indicated that inos increased significantly ,in comparison with the control group, in bronchiolar mycoderma epithelial and enos remakably decreased in pulmonary blood vessel.

结果:联合应用烟熏和ppe在较短的时间内建立了较理想的copd模型;一氧化氮合酶在正常肺组织与copd的肺组织均有表达,主要定位在细胞浆内;免疫组化结果表明模型组inos在支气管黏膜上皮呈强阳性表达,肺血管enos表达明显减弱,与健康对照组比较有显著性(p.01)。

RESULTS: The morbidity of this kind fistula was 1.83%(4/219) in our hospital. All the 5 patients suffered fistula 1-13 days after esophagogastrostomy; bronchopleural fistula occurred in 2 patients.

结果:本组三切口食管癌手术的颈部吻合口内瘘的发生率为1.83%(4/219)。5例患者内瘘发生时间为术后第1~13天,其中2例合并支气管胸膜瘘。

OBJECTIVE The aims of this study are to observe the effect and acute side-effects of 192-Iridium high dose rate intrabronchial brachytherapy combined with bronchial artery infusion chemotherapy and radiotherapy on non-small cell lung cancer, and also to assess the clinical value of the treatment of HDR-IBB combined with BAI and RT, and to explore a new method of combined treatment for inoperable non-small cell lung cancer MATERIALS AND METHODS Between May 1998 and Octob...

中文摘要:一、目的:本课题观察了~(192)Ir高剂量率支气管腔内放疗对支气管动脉灌注化疗和外照射治疗非小细胞肺癌疗效的影响和副作用,初步研究探讨联合治疗的临床价值,目的在于为不能手术或不愿手术的局部中晚期非小细胞肺癌患者,探索一种新的综合治疗方法。

The tumor is usually confined to the bronchial wall, although the high-grade form may extend into the peribronchial interstitium or adjacent lung parenchyma.

肿瘤通常被限制在支气管壁内,然后高度恶性时也可侵犯支气管周围间隙或邻近的肺实质。

PaO2/FiO2 of both patients was less than 225 mm Hg.In both patients, high-resolution computed tomography scans at the exacerbation showed typical signs of IPF including peripheral predominant, basal predominant reticular abnormality, with honeycombing and traction bronchiectasis and bronchiolectasis,and newly developing alveolar opacity.

呼吸困难分别在1周和半月内加重;2例患者氧合指数均小于225 mm Hg;急性加重时2例患者HRCT表现为两下肺分布的网状影、蜂窝影、牵拉性细支气管扩张和支气管扩张等典型的IPF表现,并出现新的磨玻璃影。

Result 1、The effect of acupoint external application on the bronchial pathological structure and airway inflammation score of passive smoking rat The result showed:in model group,we conld see tracheal and bronchial mucosa bronchial exuviated,struction arranged in disorder,cilia lodged,even exfoliated in various degree,the exudate of airway cavity increased,alveolar wall capillary congested,bronchial wall seed a large amount of inflammatory cells,such as macrophage、lymphocyte、neutrophil,etc.

研究结果 1、穴位敷贴对被动吸烟大鼠肺组织结构及炎症病理评分的影响结果显示,模型组气管、支气管黏膜上皮脱落,结构排列紊乱,纤毛倒伏,甚至有不同程度的脱落,气道腔内渗出物增多,周围肺泡壁毛细血管充血,支气管壁见大量巨噬细胞、淋巴细胞、中性粒细胞为主的炎性细胞侵润等现像。

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